Charles M Sidell, D.C.
Individual provider Active NPI Chiropractor · Gorham, NH
NPI 1437158698 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1437158698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 531-0498 (NH)
- Practice address
- 630 Main St
Gorham, NH 03581-4900 - Phone
- (603) 752-7727
- Fax
- (603) 752-2820
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 531-0498 | NH | Yes |
Addresses
Primary practice location
630 Main St
Gorham, NH 03581-4900
Mailing address
630 Main St
Gorham, NH 03581-4900
Phone (603) 752-7727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0501745Y0NH01 | Other | NH | ANTHEM BLUE CROSS BLUE SH |
| 30250401 | Medicaid | NH | |
| 41581 | Other | NH | CIGNA |
Other providers in Gorham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.